HomeMy WebLinkAbout2839 Longboat Way - Disclosures/Insulation - 02/04/2004Fort Collins Residential Energy Cade
INSULATION DISCLOSURE FORM
inscis�xls — 7I10798
Job address:
the bui Idi ng & zoni ng dept. of
Community Planning and Environmental Services
281 N. College Ave., P.C. Box 580, Fort Collins, CO 8C52-1
Voice: 970 _21 6757 FAX: 970 224 6134
General contractor: K b Pft P U
Insulation contractor: �(ifr� IObUL(1pOA)
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INSTRUCTIQNS......::::...............::::::.::......................... ...........
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This disc:osure form is to be sicned 5y the insulation contractor or "sor=_sentative cf the _enerai contrac'or.
Please type or print, excSpt fCr the sicnature. Complete the information In the appropriate spaces urcVlced.
If components vary, make multiple entries to desc^be them. —
One coov of this form must be provided to the Building and Zoning Department prior to the C.G.
One copy of this form must be made available to the grieinal home buyer.
Insulation .............. .....
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Ceilings with enclosed
rafter cavities
Frame walls and rim/band ' 13'
joists — to exterior
I C10_ ,t gb� (y ` Z I 117
Frame walls and rim/band
joists — to attic, garage
Frame floor - cantilever
Frame floor -over garage or �
i
crawl space
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CertsTlcation.::. .. .. :: :::..:::::::::::c ::c;:.
IlWe e ay `hat the accve ��sted insuiaden was installed in the cu:iding at the _cove locations :r. ccni=_ance with. the current recuireme. m a
-art Ccilir. iesidertial :mercy Code, and that it'ryas iCnsttallleed�in a..cordance wit. the "Insuia�cn CuideHnes" pubiished by the City ci For Cc:Hi 7s.
Person Cart• in �:. 13( ,af �J T !/►1—
Sicnature:
Date: 7_711of
Business Firm. AMY7—�G/�(c`��(f/LI�TIaN
Address I Z
Phone: (p2-000